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Deactivated NPI 1396128237 Deactivated / Inactive NPI Female Practitioner

Sheena Annette Burgess , LLMSW

Social Worker - School • Wayne, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sheena Burgess has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 08, 2015
NPI Deactivation Date January 17, 2022
Total Practice Duration ~7 Years of Practice (2015 – 2022)

Professional Overview & Biography Verified Profile Summary

Sheena Burgess, LLMSW was a registered Social Worker - School practicing in Wayne, MI. Throughout an active medical career spanning 7 years, Sheena Burgess provided care at the practice location at 35640 W MICHIGAN AVE until profile deactivation on 2022-01-17.

Practice Location & Contact Primary Location

Practice Address

35640 W Michigan Ave

Wayne, MI 481841628

Telephone 7347297792

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - School in Wayne, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Wayne, MI (169 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - School Primary Specialty

NUCC Taxonomy Code: 1041S0200X

State License MI 6801094587

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jill Finley

Technician, Other

NPI 1023481819
Kristle White , MA, TLLP

Psychologist - Counseling

NPI 1043570187

Master of Arts, TLLP

Mylaica Conner

Technician, Other

NPI 1104202035
NPI 1114304615

Master of Arts, TLLP

Rebecca Nystrom , BS

Technician, Other

NPI 1124402128

Bachelor of Science

Allyson Zick

Technician, Other

NPI 1134594856

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
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NPI Profile Deactivated January 17, 2022

Record deactivated on January 17, 2022

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Updated Practice Location January 09, 2019

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326 (Tel: 2482482990)

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Updated Business Mailing Address January 09, 2019

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326 (Tel: 2482990030)

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Updated Practice Location June 05, 2018

Registered at 32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025 (Tel: 2487124266)

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Updated Business Mailing Address June 05, 2018

Registered at 32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 480252454 (Tel: 2487124266)

NPI Profile Active September 20, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 20, 2017

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803 (Tel: 2489120622)

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Updated Business Mailing Address September 20, 2017

Registered at 14123 SHAMROCK DRIVE, REDFORD, MI 48239 (Tel: (248) 459-2814)

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Provider Name / Credentials Updated September 20, 2017

Recorded as SHEENA BURGESS, LLMSW, BCBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2017

Social Worker (License #6801094587 in MI)

NPI Profile Active July 08, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2015

Registered at 35640 W MICHIGAN AVE, WAYNE, MI 481841628 (Tel: 7347297792)

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Updated Business Mailing Address July 08, 2015

Registered at 23051 GARDNER ST, OAK PARK, MI 482372452 (Tel: 2484592814)

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Provider Name / Credentials Updated July 08, 2015

Recorded as SHEENA BURGESS, LLMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2015

Social Worker (License #6801094587 in MI)

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Initial NPI Registration & Enumeration July 08, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396128237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2015
Last Update: July 08, 2015
Deactivation Date: January 17, 2022

Mailing Address

23051 Gardner St

Oak Park, MI 482372452

Phone: 2484592814

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.